Confidence in controlling a SARS outbreak: experiences of public health nurses in managing home quarantine measures in Taiwan.
Confidence in controlling a SARS outbreak: experiences of public health nurses in managing home quarantine measures in Taiwan.
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DOI：
10.1016/j.ajic.2005.11.008
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发表时间：
2006-05
影响因子：
4.9
通讯作者：
Chang YK
中科院分区：
文献类型：
--
作者：
Hsu CC;Chen T;Chang M;Chang YK
台湾在2003年爆发严重急性呼吸系统综合症（SARS）期间，经历了最严重的疫情之一。公共卫生护士在实施广泛的隔离政策以防止疾病传播方面面临前所未有的挑战。然而，在SARS危机中，他们的专业信心被粉碎。本研究旨在评估影响公共卫生护士管理社区SARS防治项目信心的相关因素。2003年5月，我们向台湾所有361个卫生中心发出结构化问卷，并要求负责流行病控制的公共卫生护士完成。共收到312份已完成的调查，回复率为86.4%。采用描述性方法和Logistic回归对数据进行分析。大多数公共卫生护士（71.9%）表示对处理SARS疫情普遍缺乏信心。信心与感知的流行病严重程度（OR，0.58; 95%CI：0.35-0.99）、每日流行病更新（OR，2.26; 95%CI：1.28-3.98）和社区病例数（OR，2.21; 95%CI：1.13-4.31）显著相关。护士的个人风险认知和及时更新的流行病信息显着影响水平的专业信心，一个关键因素，影响隔离实施的成功。为了有效控制传染病的爆发，需要制定促进富有成效的机构间合作和倡导各级卫生工作者参与的参与性政策制定的战略。
Taiwan experienced one of the most serious outbreaks of severe acute respiratory syndrome (SARS) during the 2003 epidemic. Public health nurses faced unprecedented challenges in implementing an extensive quarantine policy to prevent disease spread. Their professional confidence, however, was shattered during the SARS crisis. This paper assesses factors related to public health nurses' confidence in managing community SARS control programs. In May 2003, we sent structured questionnaires to all 361 health centers in Taiwan and asked the public health nurses responsible for epidemic control to complete. A total of 312 completed surveys were returned for a response rate of 86.4%. Descriptive methods and logistic regression were used to analyze the data. Most public health nurses (71.9%) expressed a general lack of confidence in handling the SARS epidemic. Confidence was significantly associated with perceived epidemic severity (OR, 0.58; 95% CI: 0.35-0.99), daily epidemic updates (OR, 2.26; 95% CI: 1.28-3.98), and number of cases in the community (OR, 2.21; 95% CI: 1.13-4.31). Nurses' individual risk perception and prompt update of epidemic information significantly affect levels of professional confidence, a key factor influencing quarantine implementation success. Strategies to promote productive interagency collaboration and advocate participatory policy making involving health workers at all levels are needed to control effectively infectious disease outbreaks.
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